European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
MR spectroscopy in the diagnosis of lumbar discogenic pain.
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Sutcliffe John, Blease Simon, Hill-Smith Oakley
Аннотация
PURPOSE: to determine whether magnetic resonance spectroscopy (MRS) provides similar clinical data to low pressure provocative discography (PD).
METHODS: Twenty patients suffering from axial lower back pain underwent both MRS and PD concurrently. MRS was performed on a Siemens 3T scanner* of the lower three lumbar discs, where possible. Collapsed discs could not be assessed. Low pressure PD was performed on at least the lower three discs, by the author with considerable experience of the technique.
RESULTS: MRS agreed with PD findings in 70-87% of 55 discs tested, depending on the agreement level set. Of the non-agreements, 10/17 were under-calls, 3 were overcalls and 4 were indeterminate.
CONCLUSION: MRS of lumbar discs may become a viable alternative to PD, as our experience and the technique evolves.
METHODS: Twenty patients suffering from axial lower back pain underwent both MRS and PD concurrently. MRS was performed on a Siemens 3T scanner* of the lower three lumbar discs, where possible. Collapsed discs could not be assessed. Low pressure PD was performed on at least the lower three discs, by the author with considerable experience of the technique.
RESULTS: MRS agreed with PD findings in 70-87% of 55 discs tested, depending on the agreement level set. Of the non-agreements, 10/17 were under-calls, 3 were overcalls and 4 were indeterminate.
CONCLUSION: MRS of lumbar discs may become a viable alternative to PD, as our experience and the technique evolves.